Ihe otutu

Acne bụ ọnọdụ anụ ahụ na-akpata pịmpụl ma ọ bụ "zits." Whiteheads, blackheads, na uhie, anụ ọkụ na-acha ọkụ (dị ka cysts) nwere ike ịmalite.

Oria akpukpo aru na-aputa mgbe obere oghere di na akpukpo aru ha na-ekpuchi. A na-akpọ oghere ndị a pores.

• Onye ọ bụla pore ga-emepe ka a follicle. Otu follicle nwere ntutu na gland mmanụ. Mmanụ nke gland wepụtara na-enyere aka wepu mkpụrụ ndụ akpụkpọ anụ ochie ma mee ka akpụkpọ gị dị nro.
• Enwere ike igbochi glands site na ngwakọta ma ọ bụ mmanụ na sel anụ ahụ, akpọrọ mkpọchi plọg ma ọ bụ comedone. Ọ bụrụ na elu nke plọg ahụ na-acha ọcha, a na-akpọ ya whitehead. A na-akpọ ya blackhead ma ọ bụrụ na elu nke plọg ahụ gbara ọchịchịrị.
• Ọ bụrụ na nje bacteria tọrọ atọ na plọg ahụ, usoro ahụ ji alụso ọrịa ọgụ nwere ike imeghachi omume na ya, na-akpata pịmpụl.
• Acne nke di omimi n’ime akpukpo aru gi nwere ike ime ka akpukpo ahu di ike ma na-egbu mgbu. A na-akpọ nke a nodulocystic acne.

Acne na-ahụkarị ndị nọ n'afọ iri na ụma, mana onye ọ bụla nwere ike ịnweta ihe otutu, ọbụlagodi ụmụ ọhụrụ. Nsogbu a na-ada n'ezinụlọ.

Thingsfọdụ ihe ndị nwere ike ịkpalite otutu gụnyere:

• Mmiri Hormonal na-eme ka anụahụ anụahụ. Ndị a nwere ike ibute oge uto, oge ịhụ nsọ, afọ ime, ọgwụ mgbochi ime, ma ọ bụ nchekasị.
• Ihe mmanu mmanu mmanu ma obu mmanu mmanu na ntutu.
• Drugsfọdụ ọgwụ (dị ka steroid, testosterone, estrogen, na phenytoin). Ngwa e ji amụ nwa, dị ka ụfọdụ ọgwụ IUD nwere, nwere ike ime ka ihe n’ere ahụ na-akawanye njọ.
• Oke sweating na iru mmiri.
• Na-emetụ aka nke ukwuu, na-ezu ike, ma ọ bụ na-ete akpụkpọ ahụ.

Nnyocha egosighi na chocolate, akụ, na nri mmanu mmanu na-akpata ihe otutu. Agbanyeghị, nri ndị nwere nnukwu shuga a nụchara anụcha ma ọ bụ na mmiri ara ehi nwere ike ịmetụta ihe otutu na ụfọdụ ndị mmadụ, mana njikọ a na-arụ ụka.

Oria na-egosikarị na ihu na ubu. O nwekwara ike ime na akpati, ogwe aka, ụkwụ, na aka. Skin mgbanwe gụnyere:

• Crusting nke akpụkpọ bumps
• Akpa
• Papules (obere uhie uhie)
• Pustules (obere uhie uhie nwere ọcha ma ọ bụ odo)
• Na-acha uhie uhie gburugburu eruptions anụ ahụ
• Egwu nke akpụkpọ ahụ
• Whiteheads
• Nkọ ojii

Onye na-ahụ maka ahụike gị nwere ike ịchọpụta ihe otutu site n’ile gị anya. Nnwale adịghị mkpa n'ọtụtụ ọnọdụ. A pụrụ iji ọdịnala ụfọdụ mee ihe na-akpata nje bacteria ma ọ bụ wepụ ọrịa ma ọ bụrụ na nnukwu nsogbu na-aga n'ihu.

NA-EME ONWE GF

Nzọụkwụ ị nwere ike ime iji nyere aka otutu gị aka:

• Jiri nro dị nro, na-adịghị ọcha (dị ka Dove, Neutrogena, Cetaphil, CeraVe, ma ọ bụ Basics) hichaa anụ ahụ gị.
• Chọọ maka usoro mmiri ma ọ bụ "noncomedogenic" maka ihe ịchọ mma na ude anụ ahụ. (A nwalewo ngwaahịa ndị na-abụghị nke ndị ọzọ ma gosipụtaghị ka ha mechie ọnụ ma mee ka otutu na ọtụtụ mmadụ.)
• Wepu unyi niile ma obu mechie. Na-asa otu ugboro ma ọ bụ ugboro abụọ n'ụbọchị, gụnyere mgbe ị na-emega ahụ.
• Zere ịchacha ma ọ bụ ịsacha akpụkpọ ahụ ugboro ugboro.
• Na-ehicha ntutu gị kwa ụbọchị, ọkachasị na ọ bụ mmanu.
• Ghichaa ma ọ bụ dọpụta ntutu gị ka ntutu ghara iru gị.

Ihe agaghị eme:

• Gbalịa ịghara iji iwe na-apịa, na-amịa, na-atụ, ma ọ bụ na-ete pịmpụl. Nke a nwere ike ibute ọrịa akpụkpọ, jiri nwayọọ na-agwọ ọrịa, na ịkọ.
• Zere iyi akwa isi, okpu baseball, na okpu ndị ọzọ.
• Zere imetụ ihu gị aka ma ọ bụ aka.
• Zere ude na-ete mmanụ ma ọ bụ ude.
• Ahapụla etemeete n’abalị.

Ọ bụrụ na usoro ndị a edozighi ntụpọ ahụ, nwaa ọgwụ ọgwụ acne na-adịkarịghị mkpa ị na-ete na akpụkpọ gị. Soro ntuziaka ndị ahụ ma tinye ngwaahịa ndị a aka.

• Ngwaahịa ndị a nwere ike ịnwe benzoyl peroxide, sọlfọ, resorcinol, adapalene, ma ọ bụ salicylic acid.
• Ha na-arụ ọrụ site na igbu nje, ihicha mmanụ anụ, ma ọ bụ na-eme ka ihe mkpuchi dị n’elu akpụkpọ gị pụọ.
• Ha nwere ike ibute ịcha ọbara ọbara, ihicha, ma ọ bụ ịkpụcha akpụkpọ ahụ oke.
• Mara na benzoyl peroxide nwere nkwadebe nwere ike ịcha ọcha ma ọ bụ akwa nhicha akwa na akwa.

Obere obere ikpughe anyanwụ nwere ike melite otutu obere, mana tanning na-ezobe otutu ahụ. A naghị atụ aro ekpughere nke ukwuu na ìhè anyanwụ ma ọ bụ ụzarị ultraviolet n'ihi na ọ na-eme ka ihe ndọlị na ọrịa cancer anụ ahụ ka ukwuu.

Ọgwụ SITE na ahụike gị

Ọ bụrụ na etuto ka bụ nsogbu, onye na-eweta ọrụ nwere ike ịkọwa ọgwụ ndị siri ike ma soro gị kwurịta nhọrọ ndị ọzọ.

Ọgwụ mgbochi ọrịa nwere ike inyere ụfọdụ ndị etuto aka:

• Ogwu ogwu nke onu (nke ejiri onu) dika tetracycline, doxycycline, minocycline, erythromycin, trimethoprim-sulfamethoxazole, na amoxicillin
• Ogwu ogwu ogwu (etinyere na akpukpo aru) dika clindamycin, erythromycin, ma obu dapsone

Ude ma ọ bụ gels etinyere na akpụkpọ nwere ike kenyere:

• Ngwunye nke vitamin A dị ka retinoic acid ude ma ọ bụ gel (tretinoin, tazarotene)
• Criptionkpụrụ ọgwụ nke benzoyl peroxide, sọlfọ, resorcinol, ma ọ bụ salicylic acid
• Nde azelaic acid

Maka ụmụ nwanyị nke ihe otutu na - akpata ma ọ bụ na - eme ka njọ site na homonụ:

• Mkpụrụ ọgwụ a na-akpọ spironolactone nwere ike inye aka.
• Ngwunye ọgwụ ọmụmụ nwere ike inye aka n'ọnọdụ ụfọdụ, n'agbanyeghị na ha nwere ike ime ka ihe otutu mee ka ụfọdụ ụmụ nwanyị ka njọ.

Usoro obere ma ọ bụ ọgwụgwọ nwere ike inye aka:

• Enwere ike iji ọgwụ Photodynamic mee ihe. Nke a bụ ọgwụgwọ ebe mmiri ọgwụ na-acha anụnụ anụnụ na-arụ ọrụ na-emetụta akpụkpọ ahụ, na-esochi ya na ìhè.
• Onye na-eweta gị nwekwara ike ịkọwapụta ekpepụsị akpụkpọ anụ kemịkal; iwepụ scars site na dermabrasion; ma ọ bụ mwepụ, drainage, ma ọ bụ ọgwụ nke cysts na cortisone.

Ndị nwere ọrịa ọnya cystic na ọnya nwere ike ịnwale ọgwụ a na-akpọ isotretinoin. A ga-ele gị anya nke ọma mgbe ị na-a medicineụ ọgwụ a n'ihi mmetụta ya.

Womenmụ nwanyị dị ime agaghị anabata isotretinoin, n'ihi na ọ na-ebute oke ntụpọ nwa.

• Womenmụ nwanyị na-ewere isotretinoin ga-eji ụdị 2 nke ịmụ nwa tupu ịmalite ọgwụ ma debanye aha na mmemme iPledge.
• Alsomụ nwoke kwesịkwara ịdebanye aha na mmemme iPledge.
• Onye na-eweta gị ga-eso gị na ọgwụ a ma ị ga-enwe nyocha ọbara oge niile.

Otutu oge, acne na-apụ mgbe afọ iri na ụma gachara, mana ọ nwere ike ịdịgide n'etiti afọ. Ọnọdụ a na-emeghachi omume nke ọma n'ọgwụgwọ, mana nzaghachi nwere ike were izu 6 ruo 8, ma etutu nwere ike ịpụta site n'oge ruo n'oge.

Kọ ụfụ nwere ike ịdapụta ma ọ bụrụ na agwọghị nnukwu akpịrị. Peoplefọdụ ndị mmadụ na-ada mbà nke ukwuu ma ọ bụrụ na-agwọghị ihe otutu.

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Usoro nlekọta onwe onye na ọgwụ na-ere ọgwụ anaghị enyere aka mgbe ọtụtụ ọnwa gasịrị.
• Akpịrị gị dị njọ (dịka ọmụmaatụ, ị nwere ọtụtụ ọbara ọbara gburugburu pịmpụl, ma ọ bụ nwee cysts).
• Ihe otutu gị na-akawanye njọ.
• Develop na - etolite etolite ka ọnya gị n’achara.
• Acne na-akpata nchekasị nke mmụọ.

Ọ bụrụ na nwa gị nwere ọrịa oyuyo, kpọọ onye na-enye nwa ahụ ma ọ bụrụ na ihe otutu anaghị ekpochapụ n'onwe ya n'ime ọnwa 3.

Acne vulgaris; Ogwu achoro; Ihe akpịrị; Zits

• Ogwu nwa
• Acne - mmechi ọnya pustular
• Blackheads (comedones)
• Acne - cystic na obi
• Acne - cystic na ihu
• Acne - vulgaris na azụ
• Oria na azụ
• Ihe otutu

Gehris RP. Ọrịa ọrịa. Na: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli na Davis 'Atlas nke nyocha umuaka umuaka. Nke 7. Philadelphia, PA: Elsevier; 2018: isi 8.

Habif TP. Acne, roacea, na nsogbu ndị metụtara ya. Na: Habif TP, ed. Ọrịa Clinical Dermatology. Nke isii. St Louis, MO: Elsevier Saunders; 2016: isi 7.

James WD, Elston DM, Na-emeso JR, Rosenbach MA, Neuhaus IM. Ihe otutu. Na: James WD, Elston DM, Na-emeso JR, Rosenbach MA, Neuhaus IM, eds. Ọrịa Andrews nke Skin: Clinical Dermatology. Nke 13. Philadelphia, PA: Elsevier; 2020: isi 13.

Kim ANY.. Ihe otutu. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM ,, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 689.